A client presents to the emergency department with a flat affect and disheveled appearance. The nurse objectively can see that the client has experienced an adventitious crisis. Which are examples of adventitious crises? Select all that apply.
Natural disasters
Death of a loved one
Leaving home for the first time
Loss of a job
Violent crimes
Correct Answer : A,B,E
A. Natural disasters: Natural disasters such as earthquakes, hurricanes, floods, and wildfires can lead to adventitious crises due to the sudden and often overwhelming impact on individuals and communities.
B. Death of a loved one: Experiencing the death of a loved one, especially unexpectedly or under traumatic circumstances, can precipitate an adventitious crisis characterized by intense emotional distress and disruption in functioning.
C. Leaving home for the first time: While leaving home for the first time can be a significant life transition, it is not typically classified as an adventitious crisis. It may cause stress and adjustment difficulties but is more commonly associated with developmental or situational stressors rather than adventitious crises.
D. Loss of a job: Losing a job can be a distressing event that leads to financial instability and emotional challenges. However, it is generally considered a situational crisis rather than an adventitious crisis, which typically involves more acute and external factors beyond individual control.
E. Violent crimes: Experiencing or witnessing violent crimes, such as assault, robbery, or domestic violence, can trigger an adventitious crisis due to the trauma and threat to personal safety involved.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Determine if the clients can relate to the students during their time together: This option is not the primary reason for discussing personal beliefs. While understanding the students' beliefs and attitudes may contribute to their ability to relate to clients, the primary focus of the discussion is typically not about client-student relational dynamics.
B. Guide the students to practice self-awareness so there is no interference with the client's care: This is the primary reason for discussing personal beliefs. Practicing self-awareness helps students recognize their biases, emotions, and beliefs that could potentially interfere with providing unbiased, empathetic, and effective care to clients with a history of abuse and self-harm.
C. Assign the most compatible clients and students together to ensure a good assignment: This option is not typically the primary reason for discussing personal beliefs. While compatibility between clients and students can be considered in assignments, the primary focus in this context is on self-awareness and minimizing interference with client care.
D. Assess the appropriateness of the setting for implementing nursing skills: This option is not the primary reason for discussing personal beliefs. While the setting's appropriateness for implementing nursing skills is important, the discussion about personal beliefs is more directly related to self-awareness and ensuring quality care for clients with specific needs.
Correct Answer is D
Explanation
A. Adult homeless woman with acute mania engaging in unsafe behaviors: Psychiatric transitional care services are typically designed to provide a bridge between acute hospital care and community-based care for individuals with mental health disorders. Clients who are experiencing acute symptoms or unsafe behaviors, such as the adult homeless woman with acute mania engaging in unsafe behaviors, may benefit from more intensive and structured care settings initially, such as inpatient psychiatric care, before transitioning to transitional care services.
B. Adolescent with conduct disorder who took an overdose of a benzodiazepine: Given the severity of the overdose and the presence of conduct disorder, this adolescent may require acute inpatient psychiatric care initially for stabilization and safety monitoring. Transitional care services may be considered after the acute phase has been addressed and the client's condition has stabilized.
C. Paralyzed veteran experiencing increased respiratory problems and infections: Transitional care services are not typically designed to address medical or physical health needs such as respiratory problems and infections. This client may require specialized medical care and rehabilitation services rather than psychiatric transitional care services.
D. Adult male being discharged from the hospital with chronic symptoms of schizophrenia: Clients with chronic mental health conditions such as schizophrenia who are being discharged from the hospital may benefit from psychiatric transitional care services. These services can help ensure continuity of care, medication management, psychoeducation, and support for community integration and daily living skills.
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